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BLDPS-23-002399
ONE & TWO FAMILY ONLY- BUILDING PERMIT Town of Yarmouth Building Department 1146 Route 28, South Yarmouth,MA 02664-4492 508-398-2231 ext. 1261 Fax 508-398-0836 .f ,'' _ „li Massachusetts State Building Code, 780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: g(f,/- -Bate Applied: Building Official(Print Name) Si ature Date — SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers ✓ S DIANP ce,D1:eve W,Y Mat\ ft f 3 Set — !"7`� 1.1a Is this an accepted street?yes 1� no Map Number Parcel NumberiiR �5 E 1. Zoning Information 1.4 7 roper Dimensions: F2-4"' Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) OCT 2 1.5 Building Setbacks(ft) EPA-R-T 11EN T Front Yard Side Yards Rear Yard ----_= Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private`[? Zone: Outside Flood Zone? Municipal 0 On site disposal system ❑ Check if yestil SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: '' /_©lriAtok) � Qtf ckito "Y►1ert �6r , rnn' L.' L,,,,..-- Name(Print) Ci State,ZIP �— Dilev lee. D 'J -dll -- LCi (A ily@baw d- No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction's Existing Building❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description f Proposed Work2: 4415 f q I j,li !ri VO.AM d $ i m(1in°I pc'' t,a &p ('t-Y►'t c n1 i .. to r►1 v►1 vK� ioo 7 �9'l t C� t 1 y ,....-- SECTION 4: ESTIMATED CONSTRUCTION COSTS. Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee:S/,cn Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: me.62.61=-4 9 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. Check Amount: Cash Amout ✓K-Total Project Cost: $ 1 10. 00 0 0 Paid in Full 0 Outstanding Balance Due: • SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering • WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) .io( •� y siZlrsCr� e :i �CHIC Registrationumber ir ion Date FIX corn yN or HIC Registrant N 3, fie me5}eaJ #R No.and Street S t�C 1st- ! ,�`�o`rds�0. �yY�C.ci \ Email address n 3a1M_CCe aCtl 1,4 `E12SM-3W.-Vt\ ^n City/Town, State,ZIP Telephone e,Yi Ai 01ri.S-(clnWIPvt:2 v+ct‘L .0 SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this applicatio . 'ure to provide this affidavit will result in the denial of the Issuance of the building permit.`) Signed Affidavit Attached? Yes @7 No ❑ " - SECTION 7a: OWNER AUTHORIZATION TO COMPLETED OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf, in all m hers relative to work authorized by this building permit application. ,. toVI CCVI viz a(Virg► 012(c)1 2'3 Print Owner's Name(Electronic ignature) Date f • SECTION 7b: OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below eby attest under the pains and penalties of perjury that all of the information con/Mined in this applicaion is e and accurate to the best of my knowledge and understanding. / . , � =y 3 P int Owner's or Authc ed ent's Name(Electronic Signature) Date JJNOTES: 1. An Owner who obtains a building permit to do his/her own work, or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program), will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at www.mass.aov/oca Information on the Construction Supervisor License can be found at www.mass.a.ov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage, finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" The Commonwealth of Massachusetts l r , Department of Industrial Accidents I Congress Street, Suite 100 Boston, MA 02114-2017 5•`' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly ✓ m I Nae (Business/Organization/Individual): r tcc,'c _i.(i. \ 1 ✓ Address: 3 c/ City/State/Zip: D .S ( Z_•_ Phone #: cb?•—3 GO— 13 I 1 Are you an employer?Check the appropriate box: Type of project(required): I.g-I am a employer with employees(full and/or part-time).* 7. ❑New construction 2 earn a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp. insurance required.] 8. El Remodeling 3._ 1 am a homeowner doing all work myself. [No workers'comp. insurance required.]t 9. El Demolition 4.C I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11. Electrical repairs or additions proprietors with no employees. — 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 17'❑plumbing repairs or additions These sub-contractors have employees and have workers'comp. insurance.t 13.El Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.El Other 152,§l(4),and we have no employees. [No workers'comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I.Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 3Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. t/ Insurance Company Name: L► " 1 _Los Li MY\c . Co T ? u t.../colicy#or Self-ins.Lic.#: COCS —��- 1 S -L Z Z2r-01 L Expiration Date: g/RA 3 �b Site Address: S N crive City/State/Zip: � m CAvoLk f + �.o 33 Attach a copy of the workers' compensation policy declaration page(showing the policy number and exration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. nature: T'=3-•— Date: if�/ /'022 Phone T: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License r Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: TOWN OF YARMOUTH o of � - BUILDING DEPARTMENT t ^<i _ 47 1146 Route 28,South Yarmouth, MA 02664 508-398-2231 ext. 1261 HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DA 1'h: JOB LO :TION: NAME STREET ADDRESS SECTION OF TOWN "HOMFO I R" NAME HOME PHONE WORK PHONE PRESENT MAIL► TG ADDRESS CITY ' TOWN STA 1'h ZIP CODE The current exemption f. `Homeowner' was extended to include owner—occupied dwellings of one or two units and to allow such homeow ers to engage an individual for hire who does not possess a license,provided that such homeowner shall act as supe isor. (State Building Code Section 110 R5.1.3.1) Definition of Homeowner: Person(s)who owns a parcel of Ian. en which he/she resides or intends to reside,on which there is or is intended to be, a one or two family attached or de .ched structure assessory to such use and/or farm structures. A person who constructs more than one home in a two- ear period shall not be considered a homeowner; such"homeowner"shall submit to the building official, on a form a.ceptable to the building official,that he/she shall be responsible for all such work perfoiwed under the building pe ' it. (Section 110 R5.1.3.1) The undersigned `homeowner' assumes respon 'bility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned 'homeowner' certifies that he / she derstands the Town of Yarmouth Building Department minimum inspection procedures and requirements and hat he / she will comply with said procedures and requirements. HOMEOWNER"S SIGNATURE APPROVAL OF BUILDING OFFICIAL INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, w .'ch meets the requirements of MGL Ch.142. Yes No If you have checked ves, please indicate the type coverage by checking the appr Iriate box. A liability insurance policy Other type of indemnity Bo OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent h:homeownrlicexemp TOWN OF YARMOUTH 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 Office of the Building Commissioner BUILDING DEPARTMENT DEMOLITION DEBRIS DISPOSAL AFFIDAVIT Pursuant to M.G. L. Chapter 40, Section 54 and 780 CMR, Chapter 1, Section 111/5 I hereby certify that the debris resulting from the proposed work/demolition to be conducted at Work Address Is to be disposed of at the following location: Said disposal site shall be a licensed solid waste facility as defined by M.G.L. Chapter 111, Section 150A. Signature of Applicant Date Permit No. -15 ea o L re m c 7-1 IS c O p C i• 7 W w Qd.N IR m m illCO :�O El- t_ i .O O N Q O C = W O m 4) m ao co c c 10 w ,— t; LLO $' 0O r- . >,:�. A Y �' = Ntiap N3 ;'' ~ mom « cam O V• N N ,- c cy I. i,. 7 w 7C.+ itit Q• m I 11 xis I j `/11 ;' ,- p= E c �> illV- L. c # „ s` v o—Q € . .../ __I yyy........ :lilt: Q s o,Na , i# l F m• d0o , Om = O > L` ` __ -- O > a Fi t C• C CD m — G 0 0 w N O A U () I-- A y W O 0 =2 CD Nmo Da CO IS ° 0 g zt.7,.-, A -C:i N0 et pp a J. °• Q- o!f tdd d M.K,b y �{ Z 0 = O Zits' ""`s , ' O ** N ~ W Cn O w 0 0 = mi __ 0 cnco a wO �wd _ Ur0 a a coathacn Z~s o cn cc w cn Ix w 0 oCO 2 - _ w= 0 cn ❑co < Q aco<cn ,...„<;1%-,--Y"24,..4- ... . WATER DEPARTMENT •,,,,Ir* -4,- ..ri BUILDING PERMIT APPLICATION I:()R NVATER DEPARTMENT SIGN ()FF TRANSNI FETAL FORM Ii(•ILIA\CI SILL LOCATION: :T.) 1,:XA.-\A '';',;)CIe S':)\`\lc \I-C,-A:a\I:Alli.:::',1''4''' i 114 14 "••;,,,, , PROPOSED \VORK: ‘ •:.'1-',N\-- 1 ',\.(iN1 ' •e,' -, , • " "t"'z-:".''( % 1\ , ' S i - 4`" € `—• ' 4', : ' APP1 R:ANT: ,Liii., ,,... r ADDRSS .,...., - f f„. 4::' l'AL)rnc!'t:: "f.'',..•.. '',,, „r, , '1 ,...., --„ 7--,,,,,,,-• 2. 7, ,-• _ ,„.." si 11.1)110NE: ,; .,,„,/,' _..„..) t• , ' -"") RFSIDI'N IL\L AND OR C0\1\11•RCI 11. BUILDIN(i tv.,010 1),•par mew', 1)cl ermine,Compli,ince of Winer so.allabil* and of emsting Ideation Einnncering I)erzumnern: Deicniiine,Compikinee for Parking and I)rania:4.e (' ift.erl,al wil.Commiss.ion: I)etermines Compliance to Weiland, \et: i e il hil(s)horsier any ivne of wet and . ,,treann,ponds.mers,..ocean. bkiti.,. 1-10).,, 111,u-7,i:bud. E r( . I icaith 1)eparnnetn. 1)eternimes( ompiEtnce In statc and 1 4,11,‘n Retjalanons,„ requirement, 1nr Sc tie Disposal and other Pullin.: I lealth Activite, Fire I)cpartinent'. I klermines('oitiplNICC RI State and I own Requirements Par Persfmal Safety,.Vropcity Protections.. ix. Smoke Detectors,Sprinkler Systems.etc '.1 APPIICANT SIGNATURE DATE OFF ICE UStjcONINIENTS ON PERM!I 8,PPROV.AL OR IWNIAI. 4A 7,/,‘„?7,2,--0 / REVIEWElfBN.WATER DIVISION(SIGNATURE) i I)VIT 164# IP" Sears, Tim From: Sears,Tim Sent: Wednesday, November 16' 2O2211:S1AK4 To: 'asboodscapejnc@gnnuiicom' Subject: SOundee Adelson, I have reviewed your application for the pool and we need 2 copies of pool plans. Thankyou Timothy Sears C8C> Deputy Building Commissioner Town ofYarmouth 508'398-3231Ext. 1259 mnai|to:1seaoV@Yarmouth.mno.us 1 / `" - o� TOWN OF YARMOUTH -0-3BUILDING DEPARTMENT :-Ti. E 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1261 Fax 508-398-0836 Office of the Building Commissioner SWIMMING POOL & SPA PERMIT APPLICATION CHECK LIST -Compete application -Pool/Spa designation Private, Semi Public, Public -Pool Type n Groun I Above Ground Inflatable- 24 inches & deeper -Proposed Location Outdoor Interior -Barrier Description or Approved Cover Specifications—NOTE: Spas & Hot Tub Safety Covers and Pool Powered Safety Covers shall comply with ASTM F 1346 Standards (American Society for Testing & Materials—International Standards Worldwide). If erecting a fence, please describe and depict on Certified Site Plan with Pool Location: Please note who will be responsible for fence installation. Pool Installer VProperty Owner -Above Ground Pool Ladder/Stairs Description (shall comply with Inte ational Swimming Pool and Spa Code as amended, Section702) Type A , Type B , Type C , Type D , Type E' , Type F -Heater 'Yes No If Yes, a Gas permit is required. -All Pools and Spas require a Wiring Permit -Exterior Door Alarm(s) please note location(s) All Pools and Spas shall comply with the applicable provisions of 780CMR, State Building Code/International Swimming Pool and Spa Code, as amended. In addition, Outdoor Semi Public and Public Swimming Pool Barriers shall comply with MGL Chapter 140, Section 206. NOTE: 1. AS THE PERMIT HOLDER YOU ARE REQUIRED TO CALL FOR ALL REQUIRED INSPECTIONS, INCLUDING THE FINAL INSPECTION. 2. Semi Public and Public Pools are subject to annual inspections. Form June,2019,ISPSC 2015 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 01/28/22 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER COMMA JIM HINDMAN • Schlegel&Schlegel Ins Brokers,Inc. (A/CC..N ,Extt: 508-771-8381 (AONE /CC,No): 508-771-0663 34 Main Street E-MAIL West Yarmouth,MA 02673 ADDRESS: schlegelinsurance@gmail.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: LM INSURANCE CORP INSURED INSURER B: NGM A'S HARDSCAPE INC INSURER C: BURLINGTON INSURANCE ADELSON ARISTHOMENE,PRESIDENT INSURER D: 38 HOMSTEAD ROAD SAGAMORE BEACH,MA 02562 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGETO D CLAIMS-MADE n OCCUR PREMISES(Ea occurrence) $ 500,000 MED EXP(Any one person) $ 10,000 C GL-5241151 08/18/22 08/18/23 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 1-1JECOT- n LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ _ AUTOS ONLY _ AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBER EXCLUDED? N N/A WC5-31S-626225-012 01/08/22 01/08/23 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CORPORATE OFFICERS HAVE ELECTED TO BE COVERED UNDER THEIR CURRENT WORKERS COMPENSATION POLICY INSURANCE COVERAGE IS LIMITED TO THE TERMS,CONDITIONS,EXCLUSIONS,OTHER LIMITATIONS AND ENDORSEMENTS OF THE POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWN OF YARMOUTH 1146 RTE 28 SOUTH YARMOUTH MA 02664 AUTHORIZED RE•- ENTATIVE I 0 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered ma s of ACORD o =ik TOWN OF YARMOUTH ttitei„ .° HEALTH DEPARTMENT ' � • PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: 5 )L,a,,} V.E r 0.3K `/(=lf r„c,, pr, Proposed Im rpvement: /,Lit-zx 1I 4J LI { .AL1 i `v'ti ts, f l'`-k' 1 n,. t Applicant: 6s /`�/ 1 ( 15 , t o I {\J Ala,„X ) l ,ris:s �t�'' Tel. No.; . E L1 II Address: '; `ti 1 (c 5\ (_1 ,:" )) 4./i. ` c 1 ;_ , tdeLI(14 JL.f/4 , r pate Filed: I()IZ4fc2o22 **If you would like e-mail notification of sign off please provide e-mail address: Owner Name: '` �('a;, ,;•,- �,...- tom ¢, ' Owner Address: i, I1; 6 j ;t. ,, .1 1 .<iL 1,, 1 i' ) ;, lOwner Tel. No.: ci', 5 -,' >Z- ) 1J_. RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed) — Note: Floor plans not required for decks, sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. —'}REVIEWED BY: , DATE: /G a (f' d--\�, PLEASE NOTE COMMENTS/CONDITIONS: 0 ..,• Ar. , > 0 r-,' 70... i'lLT (7) .. -n C) 1 f. , Ln f3 ,001'n •,,, +3, 1 1 0 z — ': . •:.:, . -ct us e.4 OD ••••4 00 I I:- ')\el\ _ ________ .g-3 ,a II •cr 4 -) rn as --, 'A' r.f..1 3 o 2,S4 naig $0 g g CO ,c mi ,,,,T _ .1 3"-.0 ...$•-••• r... tn w NJ--- NJ nttj 0 n t.--,I\J I m N.' i.6 (.. in pa, rs- 1lii' ., 21mi ztl T- -I- 6' . .-f— - (j) < zi > -< P Z 0 Cn-, -41';1 ttl A-.± ,...„_ - V rr- 11; 111g! it c... ' M -... in z ••• )112.!ilti C).7,- 94 ,. 154,1Ag3- L. ...:-:. P 12.)„.rti 1/ 1!171 30 ...,4 0 PY4i I ' 4 .01 tn I Ftl 1 18-0° . . 4. 1 ?1 ii /.itig, t 11.12jittl, ,.' 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